To join the Breaker Team in Europe, please complete the following on-line form.  When you have completed the form and sent it, a Thank You page will appear with details on how to enter your credit or debit card details via a secure website facility.  If you would prefer to pass these details to us by phone please use the number shown below.

* First & last name & email are required.
Title
First Name *
Last Name *
Email Address *
Confirm Emai *l
Street No & Name
Address Line 2
City
County / State
Post Code
Country
Contact Phone Number
Monthly / One Off Donation
Preferred Currency
Monthly Amount
UK Tax Payer
Treat Donation for UK Gift Aid
Additional Information/Comments

Thank you for taking the time to complete this form.  We will confirm receipt of your details by email to you.  God bless you for your support.

    

 

You can complete the Word file available here & post it to us at:
PO Box 378  .  Paignton  .  Devon  .  TQ3 1WD  .  United Kingdom
 

For people in the UK, if you want to pay monthly from your bank account via a Standing Order you can request a form by calling us at: 07882-849446